Ana Cristina Freitas de Vilhena Abrão

Universidade Federal de São Paulo, San Paulo, São Paulo, Brazil

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Publications (10)2.34 Total impact

  • Marina Possato Cervellini, Mônica Antar Gamba, Kelly Pereira Coca, Ana Cristina Freitas de Vilhena Abrão
    Revista da Escola de Enfermagem da U S P 04/2014; 48(2):346-356. · 0.39 Impact Factor
  • Sonia Fontes Figueredo, Maria José Guardia Mattar, Ana Cristina Freitas de Vilhena Abrão
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    ABSTRACT: The objective of this research was to identify the pattern of exclusive breastfeeding (EBF) in the first 6 months of infants born in a Baby-Friendly Hospital and the factors that contribute to early weaning. This was a prospective cohort study with 261 mothers and children. The data were analyzed via the construction of a Kaplan-Meier survival curve, and the log-rank test was used for the univariate analysis. A multivariate analysis was performed using the Cox proportional-hazards regression model. During the 6 months, the percentage of mothers who practiced EBF for 30, 90, 120, 150 and 180 days was 75%, 52%, 33%, 19% and 5.7%, respectively. In the multivariate analysis, the variables that conferred a risk for early weaning were the hospital and the occurrence of a follow-up visit due to mammary complication, improper positioning and the association of both of these factors. The Baby-Friendly Hospital Initiative favored EBF.
    Revista da Escola de Enfermagem da U S P 12/2013; 47(6):1291-1297. · 0.39 Impact Factor
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    ABSTRACT: To clinically validate the nursing diagnosis, parental role conflict, in mothers of hospitalized newborns. Fehring's Clinical Validation Model was used, focusing on mothers, using a sample of 83. Major defining characteristics have been defined as the main indicators of the presence of a diagnosis, whereas minor are secondary indicators. Four minor defining characteristics were identified: (a) "anxiety," (b) "expresses concerns about changes in maternal role," (c) "expresses concerns about family," and (d) "fear." Major defining characteristics did not occur. Mothers who spent less time with their infants were the ones that presented a major number of defining characteristics; therefore, they should have more opportunities for being with their babies. Other studies on subjective phenomena are needed.
    International journal of nursing knowledge. 07/2013;
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    ABSTRACT: To verify if mothers of newborns hospitalized recognize the defining characteristics of "parental role conflict" as representative of that experience. A cross-sectional and descriptive study, developed in a neonatal unit of a public teaching hospital in the state of São Paulo. The sample consisted of 100 women who assigned scores of 1 to 5 to the defining characteristics of the diagnosis, where 1 meant "not at all characteristic" and 5 meant "completely characteristic of what I am experiencing." Of the total sample, 96 women self-identified with the diagnosis. The most prevalent defining characteristics were: "anxiety," "mother expresses concern(s) in relation to changes in maternal role"; "verbalizes feelings of frustration," "reports concern about family" and "fear". Women who were with their children less often during hospitalization had a higher number of defining characteristics. There was a high prevalence of the defining characteristics of the studied diagnosis, suggesting the relevance of the topic and the need for further studies to be developed in the neonatal unit.
    Revista Latino-Americana de Enfermagem 04/2013; 21(2):571-578. · 0.54 Impact Factor
  • Elenice Valentim Carmona, Kelly Pereira Coca, Ianê Nogueira do Vale, Ana Cristina Freitas de Vilhena Abrão
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    ABSTRACT: The hospitalization of a newborn separates mother and child at a time when their contact is essential for developing the mother's role. Therefore, mothers tend to feel incapable of meeting their child's needs, and face difficulties in dealing with their personal feelings and the demands of their family. The objective of this study was to identify the defining characteristics of the nursing diagnosis Conflict in performing the role of mother in studies addressing the experience of being a mother in the neonatal unit. This is an integrative literature review, which utilized 15 qualitative studies published between 2004 and 2009, in journals indexed in the Latin American and Caribbean Health Sciences Literature and on the Medical Literature and Retrieval System Online. This diagnosis is a nursing phenomenon to be studied by neonatal nurses so they are able to recognize and propose interventions to meet the mothers' needs, considering that nine out of ten defining characteristics were identified in the mothers' statements.
    Revista da Escola de Enfermagem da U S P 04/2012; 46(2):505-12. · 0.39 Impact Factor
  • Karla Oliveira Marcacine, Priscila Lopes Orati, Ana Cristina Freitas de Vilhena Abrão
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    ABSTRACT: The postpartum period is characterized by great physical and emotional changes, when parturients and families experience ambivalent and conflicting feelings and emotions, especially with the arrival of the baby, requiring the need of professional orientation and support. Having it in mind, it was searched the available literature evidence about health education, coming from a nursing team and directed to parturients and families, dealing with the newly born care and regarding its appropriate neuropsychomotor growth and development. It is clear the need of motivating the mother and the family to participate in the development of child care, increasing the success of health action results, once it provides autonomy and trust to this nucleus towards its acts, especially to the maternal role.
    Revista brasileira de enfermagem 02/2012; 65(1):141-7. · 0.25 Impact Factor
  • Kelly Pereira Coca, Mônica Antar Gamba, Rebeca de Sousa e Silva, Ana Cristina Freitas de Vilhena Abrão
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    ABSTRACT: The aim of the study was to identify the breast feeding position and holding variables related to nipple trauma. This case-control study assessed the onset of nipple trauma among women hospitalized at a University Hospital in the city of São Paulo, in 2004 and 2005. Subjects were puerperae diagnosed with unilateral or bilateral nipple trauma. Data analysis was performed using chi-square, Student's t, and odds ratio tests (CI = 95%) and correspondence analysis. Participants were 146 puerperal women and their newborns, being 73 cases and 73 controls. Statistically significant position and holding variables for causing lesions were the following: newborns with their necks bent/contorted, chin away from the breast and lip-related defect (turned inward). Trauma prevention at the beginning of breast feeding is crucial for continuing this practice. Following adequate positioning is decisive for establishing effective and prolonged breast feeding.
    Revista da Escola de Enfermagem da U S P 07/2009; 43(2):446-52. · 0.39 Impact Factor
  • Source
    Kelly Pereira Coca, Mônica Antar Gamba, Rebeca de Sousa e Silva, Ana Cristina Freitas de Vilhena Abrão
    Revista Da Escola De Enfermagem Da Usp - REV ESC ENFERM USP. 01/2009; 43(2).
  • Natália de Godoy Ferro, Ianê Nogueira do Vale, Elenice Valentim Carmona, Ana Cristina Freitas de Vilhena Abrão
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    ABSTRACT: The objective of this literature review was to investigate the factors that may interfere in the production of breast milk (lactogenesis), making difficult the establishment of lactation and having hypogalactia as a result. Since breast milk is widely known as the most natural and important food for newborns, it is necessary for nurses to understand and acknowledge the physiological mechanisms involved in lactation in order to help mothers to achieve a successful breastfeeding. Methodology: Two computerized databases were assessed in search for articles: Literature Latin American and Caribbean Health Sciences and Medical Literature and Retrieval System On Line, both covering a 10 years (1997-2007) period. Considering the objective of the study, 21 articles were selected; other academic text-books were also consulted for supporting the development of contents and concepts on lactation physiology. Results: Factors related to failure and/or delay in lactogenesis were: placental retention; deficiency and /or resistance to prolactine; presence of ovarian cysts; breast’s structural alterations; obesity; primiparity; prolonged labor and delivery; cesarean and hypotension. Conclusion: Lactogenesis is a subject that has not been properly acknowledged by nurses, although being essential for the proper establishment of breastfeeding, which is an important issue in nursing care and research. Relevance to clinical practice: When nurses take care of women who experience difficulties on breastfeeding, it is important to consider factors that may interfere in their lactogenesis; this issue seems to be rarely discussed in nursing literature. Therefore, in order to make women’s breastfeeding experience meaningful, enjoyable and effective, nurses should improve their knowledge to investigate factors related to those difficulties and plan interventions. This review is hoped to contribute in raising some aspects that should be addressed in client’s assessment and taken into consideration on planning nursing care.
    Online Brazilian Journal of Nursing 01/2009;
  • Kelly Pereira Coca, Ana Cristina Freitas de Vilhena Abrão
    Acta Paulista De Enfermagem - ACTA PAUL ENFERM. 01/2008; 21(1).